Lab results

LAB

Result

Day 1

Result

Day 2

Normal

Range

Hemoglobin

7.1g/dL

6.2g/dL

Female: 11.7-15.5

g/dL.

Male: 14- 17.3 g/dL

Hematocrit

26%

24%

Female: 36%-48%

Male: 42%-52%

Platelets

35,000mm3

20,000mm3

150,000-

450,000mm3

RBC

4.5 mm3

3mm3

Female: 4.01-5.51

million/mm3 Male: 4.51-

The nurse is caring for a client, the lab results are listed in the table. The nurse would anticipate the administration of which blood product(s) for this client?

Cryoprecipitate and red blood cells

Platelets and fresh frozen plasma

Packed red blood cells and platelets

Fresh frozen plasma and cryoprecipitate

Answer and Explanation

The Correct Answer is C

A.   Cryoprecipitate is indicated for low fibrinogen or clotting factor issues, but the client’s primary issue
here is anemia and thrombocytopenia.
B.   FFP is used to replace clotting factors. While it could be considered in certain situations, in this case, the primary concern is the severe anemia and thrombocytopenia.
C.   This is the most appropriate choice, as the patient has low hemoglobin (anemia) and a very low platelet count, both of which require packed red blood cells and platelets.
D.   This combination is typically used for clotting factor issues, not anemia and thrombocytopenia.

Nursing Test Bank

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Correct Answer is ["5"]

Explanation

(desired dose in mg/hr) / (concentration of medication in mg/mL) = infusion rate in mL/hr.

In this case, the desired dose is 5 mg/hr, and the concentration of medication is 125 mg in 125 mL, which simplifies to 1 mg/mL.

Therefore, the infusion rate is 5 mg/hr divided by 1 mg/mL, resulting in an infusion rate of 5 mL/hr.

Rounding to the nearest whole number, the nurse should set the IV pump to 5 mL/hr.

A. INR = 3.7 (normal 0.9-1.1) B. Hemoglobin = 6.3g/dL (normal Female: 11.7-15.5 g/dL: Male: 14-17:3 g/dL) C. Fibrinogen = 90mg/dL (normal 200-400mg/dL) D. Platelets = 101,000 mm3 (normal 150,000-450,000 mm3)

Correct Answer is A

Explanation

A. INR = 3.7: The International Normalized Ratio (INR) is a measure of blood clotting. An INR greater than
3.0 indicates that the blood is not clotting properly, which can be caused by warfarin overdose. An elevated INR requires FFP to correct coagulopathy.
B. Hemoglobin = 6.3g/dL: This is low, indicating anemia, but it is not directly related to warfarin overdose. The primary issue here is coagulopathy, not anemia.
C. Fibrinogen = 90mg/dL: Fibrinogen levels may be decreased in various conditions, but this alone does not necessarily require additional FFP unless it’s below a critical threshold. Fibrinogen is not the main marker for warfarin overdose.
D. Platelets = 101,000 mm3: This platelet count is within the lower end of the normal range but does not indicate that more FFP is needed in response to warfarin overdose.

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			Male: 14- 17.3 g/dL
Hematocrit	26%	24%	Female: 36%-48% Male: 42%-52%
Platelets	35,000mm3	20,000mm3	150,000- 450,000mm3
RBC	4.5 mm3	3mm3	Female: 4.01-5.51 million/mm3 Male: 4.51-

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Naxlex Comprehensive Predictor Exams

A patient is to receive a continuous infusion of Diltiazem at 5 mg/hr for Atrial fibrillation. The medication is supplied 125 mg of Diltiazem in 125 mL of Iv fluid. At what rate should the nurse set the IV pump? (round to the nearest whole number)

Correct Answer is ["5"]

Explanation

The nurse is caring for a client who received a transfusion of Fresh Frozen Plasma (FFP) for an acute GI bleed related to accidental wantarin overdose. Which laboratory result would indicate the need for an additional unit of Fresh Frozen Plasma (FFP) to correct the problem caused by the overdose?

Correct Answer is A

Explanation

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